Review Article

Male Stress Urinary Incontinence: A Review of Surgical Treatment Options and Outcomes

Table 1

Comparison of results of bone anchored sling placement in adult males with SUI.

StudyPts (No.)Mean/med
f/u (mo)
Pre-op continence (mean/med)Success defSuccess (%)Improved (%)No improvement (%)Complications
(%)
Notes

Cespedes and Jacoby [19]58626 (45)11 (19)21 (36)None
Ullrich and Comiter [20]3625≥3 ppd0 ppd24 (67)9 (25)3 (8)NoneMean pads decreased from 4.6 to 0.64
Comiter [21]4848≥3 ppd0 ppd31 (65)10 (21)7 (15)Infection 1 (2), erosion 1 (2), perineal pain × 3 months 7 (16), 2 (4) screw dislodgementMean pads decreased from 4.6 to 1.0
Castle et al. [22]3818≤1 ppd15 (40)Infection 3 (8), erosion 1 (3), majority with significant perineal pain × 3-4 mo
Gallagher et al. [23]3115≤1 ppd18 (58)Infection 2 (6), Sling removal 4 (13)3 pts lost to f/u, 4 pts w/sling removal
Fischer et al. [24]6215Pad wt
352 g ± 43
PGI-I 1 question36 (58)6 (10)26 (42)Infection 3 (5), erosion 1 (2), pain >5 months 5 (8), total 13 (21)Prospective study; 71% chance of success if preop pad weight <423 g
Guimarães et al. [25]62280 ppd40 (65)14 (23)8 (13)Infection 2 (3), pain 12 (19), bone anchor dislodgement 1 (2)3 year f/u w/21/30 (70), 4 year 8/12 (67) successful
Giberti et al. [26]4035pad weight 0-1 g22 (55)5 (13)13 (33)Infection 6 (15), de novo detrusor overactivity 2 (5), pain 29 (73)
Athanasopoulos et al. [27]4324See notes≤1 ppd22 (51)8 (19)13 (30)Infection 5 (12), ne novo urgency 6 (14), pain 1 (2)Pre-op incontinence: 1-2 pads in 6/43 (14), 3–5 pads in 23/43 (53), and ≥6 pads in 14/43 (33)
Carmel et al. [28]45360 ppd16 (36)18 (40)11 (24)Infection 1 (2), pain ≤ 3 months 10 (22)12 pts (27%) w/preop radiation